IN THE COURT OF COMMON PLEAS ASHLAND COUNTY, OHIO DOMESTIC RELATIONS DIVISION Case No. Plaintiff/Petitioner, vs./and Defendant/Petitioner. WAIVER OF PATERNITY TESTING AND LEGAL RIGHTS Now comes the undersigned, 1. , and states as follows under oath and penalty of perjury: I understand that this case involves the following minor child(ren), to wit: 2. I hereby admit and acknowledge that of the above-named minor child(ren). is the biological and/or legal parent 3. I have had my rights to paternity testing and to contest paternity fully explained to me, and I understand those rights. I have had my right to counsel explained to me and: I waive any rights I have to counsel (if I am unrepresented in this case) or I acknowledge that I am satisfied with the advice of my attorney in this case. I specifically waive any right I may have to paternity testing with regard to said child(ren) and my right to trial with regard to the paternity issue. I specifically waive any rights or causes of action I now have or may have in the future under Ohio law (including but not limited to O.R.C. Chapter 3111 or O.R.C. Section 3119.96, et. seq.), to contest the status of the above-named person as the biological father and legal parent of the above-named child(ren). I understand that by signing this document, I will never be able to request paternity testing with regard to the above-named child(ren) in the future, and that I will be forever barred from legally challenging the paternity of the child(ren). I have signed this document voluntarily and with full understanding of the legal consequences of signing this document. 4. 5. 6. 7. 8. AFFIANT Sworn to and subscribed in my presence this _______ day of _________________________, 20_________. ______________________________________________ Notary Public American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1 FORM 5.00 (Eff. 3/01/2017)